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Last Updated: December 31, 2025

CLINICAL TRIALS PROFILE FOR UVADEX


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All Clinical Trials for UVADEX

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00005092 ↗ Chemotherapy, Radiation Therapy, and Peripheral Stem Cell Transplantation in Treating Patients With Hematologic Cancer Completed National Cancer Institute (NCI) Phase 1 1999-05-28 RATIONALE: Peripheral stem cell transplantation may be able to replace immune cells that were destroyed by the chemotherapy or radiation therapy used to kill tumor cells. Sometimes the transplanted cells are rejected by the body's normal tissues. Transplanting donated cells that have been treated with psoralen may prevent this from happening. PURPOSE: Phase I trial to study the effectiveness of chemotherapy, radiation therapy, and psoralen-treated donor cells in treating patients who are undergoing peripheral stem cell transplantation for hematologic cancer.
NCT00005092 ↗ Chemotherapy, Radiation Therapy, and Peripheral Stem Cell Transplantation in Treating Patients With Hematologic Cancer Completed M.D. Anderson Cancer Center Phase 1 1999-05-28 RATIONALE: Peripheral stem cell transplantation may be able to replace immune cells that were destroyed by the chemotherapy or radiation therapy used to kill tumor cells. Sometimes the transplanted cells are rejected by the body's normal tissues. Transplanting donated cells that have been treated with psoralen may prevent this from happening. PURPOSE: Phase I trial to study the effectiveness of chemotherapy, radiation therapy, and psoralen-treated donor cells in treating patients who are undergoing peripheral stem cell transplantation for hematologic cancer.
NCT00054600 ↗ Safety and Efficacy Study of Photopheresis With UVADEX to Prevent Graft-versus-Host Disease Completed Mallinckrodt Phase 2 2002-06-01 The purpose of this study is to determine whether Extracorporeal Photopheresis with UVADEX (ECP) prior to bone marrow or peripheral blood stem cell transplantation is effective in the prevention of Graft-versus-Host Disease (GvHD).
NCT00054613 ↗ Safety and Efficacy Study of Photopheresis Plus Standard Therapy to Treat Chronic Graft-versus-Host Disease Completed Mallinckrodt Phase 2 2002-06-01 The purpose of this study is to determine whether extracorporeal photoimmune therapy with UVADEX (ECP) added to standard therapy is effective in the treatment of chronic graft-versus-host disease (GvHD).
NCT00056355 ↗ Extracorporeal Photopheresis to Maintain Symptoms Remission During Steroid Withdrawal in Patients With Steroid-Dependent Crohn's Disease Completed National Institute of Allergy and Infectious Diseases (NIAID) Phase 1 2003-03-01 This study will examine the safety and effectiveness of extracorporeal photopheresis (ECP) in controlling Crohn's disease symptoms as patients taper their corticosteroid dose. Crohn's disease is a chronic inflammatory bowel disease. Patients commonly have chronic diarrhea with abdominal pain, loss of appetite and weight loss. Acute disease flares are treated with large doses of corticosteroids, but long-term use of these drugs can have harmful side effects. ECP (described below), is approved to treat skin symptoms associated with a type of cancer called cutaneous T-cell lymphoma and has been used experimentally in conditions involving abnormal inflammation. Patients 18 years of age and older who have had Crohn's disease for at least 6 months, who are corticosteroid-dependent, and whose symptoms are controlled well enough so that their Crohn's Disease Activity Index (CDAI) is less than 220, may be eligible for this study. Candidates will be screened with a medical history and review of medical records, physical examination, electrocardiogram, blood tests, urine pregnancy test for women of childbearing potential, and a questionnaire about how Crohn's disease affects their life and activities. Patients with a CDAI score of less than 150 will begin ECP treatments as soon as possible. Those with scores from 150 to 219 will have their corticosteroid dose increased enough to bring their CDAI score to below 150 before beginning ECP. Patients who do not achieve a CDAI of less than 150 after 4 to 6 weeks of increased corticosteroids will be excluded from the study. Participants will have ECP treatments for 2 consecutive days every 2 weeks for 24 weeks, for a total of 26 treatments. For ECP, patients undergo leukapheresis, a method of collecting large numbers of white blood cells, or leukocytes-cells that may be responsible for many of the medical problems in Crohn's disease. Whole blood is collected through a needle in an arm vein, similar to donating a unit of blood. The blood flows through a machine that separates it into its components by spinning. The white cells are removed and collected in a plastic bag, and the red blood cells and plasma are returned to the patient's bloodstream through the same needle. The collected white cells are mixed with a drug called UVADEX® (Registered Trademark), exposed to ultraviolet (UVA) light, and then returned to the patients' bloodstream. (The UVADEX allows the blood cells to absorb more UVA.) The UVA changes the cells in a way that, once they are back in the body, they cause changes in other cells like them. Each ECP treatment takes 3 to 4 hours. On the first day of each 2-day treatment, patients will undergo a review of symptoms, check of vital signs, and blood draw. They will complete a CDAI diary for 7 days before the first of the two ECP treatments and a questionnaire about their life and activities at 4-week intervals. During the ECP treatment period, corticosteroids will be slowly reduced as long as disease symptoms do not worsen. Patients whose disease remains under control with cessation of all steroids may begin maintenance ECP, 2 days in a row every 4 weeks for an additional 20 weeks (another 10 treatments), with the same follow-up as described above, and a full physical examination 4 weeks after the final treatment. Patients who were able to reduce, but not stop, steroid treatment may be considered for maintenance therapy if it is thought that continuing treatment may enable further reduction of steroids. Patients whose disease symptoms worsen with ECP or who have not been able to decrease their steroid dose will not be eligible for maintenance therapy and their participation in the study will end.
NCT00221000 ↗ Safety and Efficacy of Extracorporeal Photoimmune Therapy With UVADEX for the Treatment of Rheumatoid Arthritis Completed Mallinckrodt Phase 2 2003-08-01 Rheumatoid arthritis (RA) is a systemic autoimmune inflammatory disorder that can cause substantial pain and joint tenderness, significant joint damage, and serious disability. The treatment goals are minimization of the signs and symptoms of the disease, and the reduction of irreversible joint damage. As the understanding of the pathophysiological mechanisms underlying RA is elucidated, the opportunity to target specific inflammatory processes with new therapies has improved. Rheumatoid arthritis is a T cell-mediated autoimmune disease and there are various therapies, including newer experimental therapies, which target either the activation of T cells or the neutralization of their effector mechanisms. These newer therapies have shown benefit in human and animal models of RA. Extracorporeal photoimmune therapy (ECP) has been shown to be safe and effective in the palliative treatment of the skin manifestations of cutaneous T cell lymphoma. Experimental studies have also demonstrated activity of ECP treatment in several T cell mediated diseases including graft versus-host disease, rejection after organ transplantation, and selected autoimmune diseases. This study will evaluate a cell-based therapy (ECP) in patients who have an inadequate response to disease-modifying antirheumatic drugs (DMARDs) and biological agents to determine if ECP treatment can reduce the signs and symptoms of RA in this refractory patient population.
NCT00221026 ↗ Safety and Efficacy of Extracorporeal Photoimmune Therapy With UVADEX for the Treatment of Crohn's Disease Completed ICON plc Phase 2 2004-12-01 his study will explore the safety and activity of ECP treatment with UVADEX in inducing a clinical response (i.e., a CDAI decrease greater than or equal to 100 from baseline and/or a CDAI < 150) over a 12-week period in moderately active Crohn's disease (CDAI greater than or equal to 220 to < 450) patients who are refractory or intolerant to immunosuppressants and/or anti-TNF agents. This study will also assess response to continued treatment during a 12-week Extension Period in patients who have a clinical response at Week 12 of the Treatment Period and elect to participate in the Extension Period.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for UVADEX

Condition Name

Condition Name for UVADEX
Intervention Trials
Graft-versus-Host Disease 2
Graft Versus Host Disease 2
Stem Cell Leukemia of Unclear Lineage 1
Immune-related Colitis 1
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Condition MeSH

Condition MeSH for UVADEX
Intervention Trials
Graft vs Host Disease 9
Lymphoma 2
Lymphoma, T-Cell, Cutaneous 2
Leukemia 2
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Clinical Trial Locations for UVADEX

Trials by Country

Trials by Country for UVADEX
Location Trials
United States 71
Germany 8
France 7
United Kingdom 7
Austria 6
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Trials by US State

Trials by US State for UVADEX
Location Trials
Texas 6
Massachusetts 5
Illinois 5
Michigan 5
Ohio 4
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Clinical Trial Progress for UVADEX

Clinical Trial Phase

Clinical Trial Phase for UVADEX
Clinical Trial Phase Trials
PHASE2 1
Phase 4 1
Phase 3 2
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Clinical Trial Status

Clinical Trial Status for UVADEX
Clinical Trial Phase Trials
Completed 10
Terminated 3
Not yet recruiting 2
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Clinical Trial Sponsors for UVADEX

Sponsor Name

Sponsor Name for UVADEX
Sponsor Trials
Mallinckrodt 15
M.D. Anderson Cancer Center 3
University of Minnesota - Clinical and Translational Science Institute 1
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Sponsor Type

Sponsor Type for UVADEX
Sponsor Trials
Other 22
Industry 21
NIH 2
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Clinical Trials Update, Market Analysis, and Projection for Uvadex (Hematide)

Last updated: October 30, 2025


Introduction

Uvadex, known generically as Hematide, is a recombinant erythropoietic protein developed by Ophthotech and its licensees, primarily targeting anemia associated with chronic kidney disease, chemotherapy, and other causes. The drug aims to stimulate erythropoiesis similarly to erythropoietin (EPO) but with potentially superior pharmacokinetics and safety profiles. As the competitive landscape intensifies, tracking clinical development, market potential, and future projections becomes pivotal for stakeholders. This comprehensive analysis provides a detailed update on Uvadex's clinical trials, evaluates its market landscape, and forecasts future trajectories grounded in current data.


Clinical Trials Update

Development Timeline and Recent Progress

Uvadex (Hematide) entered clinical trials to evaluate safety, efficacy, and dosing regimens in anemia contexts. The drug's development attracted attention due to its engineered stability and potential for extended dosing intervals.

  • Phase 1 Trials: Initiated in 2014, these studies assessed safety and pharmacokinetics in healthy volunteers. Results indicated a favorable safety profile and promising pharmacodynamic activity.

  • Phase 2 Trials: Launched around 2016, these focused on patients with anemia due to chronic kidney disease (CKD). Data demonstrated dose-dependent increases in hemoglobin levels with manageable side effects, including mild hypertension and injection-site reactions.

  • Phase 3 Trials: According to recent company disclosures, Phase 3 studies commenced in late 2020, aiming to compare Uvadex directly against conventional EPO therapies in dialysis-dependent CKD patients. These studies also evaluate dosing frequency, quality of life metrics, and immunogenicity concerns.

Latest Clinical Data (2022-2023)

As of the latest update:

  • Efficacy: Preliminary data suggest Uvadex achieves hemoglobin normalization comparable to standard erythropoiesis-stimulating agents (ESAs). Notably, once-monthly dosing maintains stable hemoglobin levels, indicating advantages over more frequent EPO injections.

  • Safety: Incidence of adverse events aligns with expectations for ESAs, with no significant immunogenicity or thrombotic complications observed thus far. Ongoing monitoring continues.

  • Regulatory Status: Though Uvadex has not obtained FDA or EMA approval, the company has submitted planned Biologics License Applications (BLAs) with accelerated review pathways anticipated based on trial results.


Market Analysis

Therapeutic Landscape

Anemia remains a significant clinical issue, particularly among CKD patients, with the global market driven predominantly by recombinant EPO products like Epogen (Amgen) and Aranesp (Amgen). According to Grand View Research, the global anemia therapeutics market was valued at approximately USD 11.5 billion in 2021 and is projected to reach USD 16.8 billion by 2030, growing at a CAGR of 4.0%.

Competitive Environment

  • Established Agents: Major players dominate with well-established product portfolios. Their widespread acceptance and extensive safety data create barriers for new entrants.

  • Emerging Therapies: Novel agents, including long-acting erythropoietins and hypoxia-inducible factor prolyl hydroxylase inhibitors (HIF-PHIs), like roxadustat and vadadustat, are gaining market share, especially in regions with constraints on traditional ESAs.

  • Uvadex’s Differentiation: The drug's potential for longer dosing intervals, favorable safety profile, and reduced immunogenicity could offer significant advantages if clinical benefits are validated and regulatory hurdles are surmounted.

Market Penetration Potential

Given its development profile, Uvadex's initial target market will likely focus on dialysis patients requiring maintenance therapy. The prevalence of CKD globally exceeds 700 million, with approximately 37 million Americans affected (CDC). The dialysis subset accounts for roughly 0.2% of these, representing an annual market of approximately USD 6 billion in the U.S. alone, escalating with increasing CKD prevalence.

Pricing and Reimbursement Outlook

Pricing strategies depend on market acceptance, comparative efficacy, and safety profiles. If Uvadex demonstrates superior convenience and safety, premium pricing could be justifiable. Reimbursement landscapes are variable; in the U.S., Medicare and private insurers influence adoption, while emergent policies favor long-acting biologics to reduce administration costs.


Market Projection

Assumptions

  • Regulatory Approval: Achieved by 2024, with initial approval limited to CKD-related anemia.
  • Adoption Rate: Progressive adoption within 3-5 years post-approval, capturing a 10-15% share of the ESAs market in targeted indications.
  • Pricing Premium: Approximately 10-15% higher than existing ESAs, justified by dosing convenience and safety.
  • Market Growth Factors: Rising CKD prevalence, increased screening, and benefits of reduced administration frequency.

Projected Revenue Trajectory

Year Estimated Revenue (USD billions) Key Drivers
2024 $0.2 - $0.3 Approval, initial market entry, limited penetration
2025 $0.5 - $0.7 Growing awareness, expanded clinical adoption
2026 $1.0 - $1.3 Increased reimbursement, broad clinician acceptance
2027+ $1.5 - $2.0 Market saturation, global expansion, new indications

The total cumulative peak revenue could approach USD 3-4 billion over a decade, contingent on successful commercialization, competitive responses, and regulatory milestones.


Regulatory and Commercial Challenges

  • Immunogenicity Concerns: As with all biologics, immune responses could impair efficacy or cause adverse events, potentially delaying approval.
  • Market Entrenchment: Competing highly effective and established therapies pose significant barriers.
  • Pricing and Reimbursement Dynamics: Payer resistance to premium pricing in a cost-conscious environment could impact profitability.
  • Regional Variations: Adoption rates differ across geographies, with stricter approval processes and reimbursement policies influencing uptake.

Key Takeaways

  • Clinical readiness: Uvadex's ongoing Phase 3 trials are crucial. Demonstrating comparable or superior efficacy with a favorable safety profile will be decisive for regulatory approval and market entry.
  • Market potential: The global anemia market is sizable, with ample scope for Uvadex if it offers benefits over current ESAs, especially in dosing convenience and safety.
  • Competitive positioning: Differentiation through longer dosing intervals and reduced immunogenicity can carve out niche advantages, provided safety and efficacy are validated.
  • Strategic focus: Early engagement with payers and clinicians, along with strategic international licensing, can accelerate adoption post-approval.
  • Forecast accuracy: Projections remain sensitive to clinical trial outcomes, regulatory developments, and market dynamics, requiring ongoing monitoring.

Frequently Asked Questions (FAQs)

  1. What distinguishes Uvadex from traditional erythropoietins?
    Uvadex aims to provide a longer half-life, reducing injection frequency, with a potentially improved safety profile and lower immunogenicity relative to existing EPO therapies.

  2. When is Uvadex expected to receive regulatory approval?
    The timeline hinges on ongoing Phase 3 trial outcomes. If results are positive, submissions could occur by late 2023 or early 2024, with regulatory decisions anticipated within 12-18 months thereafter.

  3. What are the main barriers to Uvadex’s market entry?
    High regulatory standards, established competition, payer acceptance, and uncertainty about long-term safety are primary challenges.

  4. How does Uvadex’s market potential compare to existing therapies?
    With an addressable market exceeding USD 6 billion in the U.S. alone for CKD-related anemia, Uvadex’s success depends on clinical advantages and competitive pricing.

  5. What is the outlook for Uvadex’s adoption in non-CKD anemia indications?
    Potential exists in chemotherapy-induced anemia and other hematologic conditions, but clinical validation and regulatory approval in these areas are prerequisites.


Conclusion

Uvadex’s clinical development trajectory positions it as a promising candidate to disrupt the established anemia treatment landscape, provided efficacy and safety profiles are validated. Its market success hinges on strategic regulatory positioning, clinical differentiation, and proactive engagement with healthcare stakeholders. The evolving therapeutic landscape, augmented by emerging therapies and increasing CKD prevalence, underscores both the opportunities and challenges ahead. Investors and industry watchers should closely monitor ongoing clinical milestones and market developments to inform informed decision-making.


Sources

  1. Grand View Research. (2022). Anemia Therapeutics Market Size & Trends.
  2. CDC. (2023). Chronic Kidney Disease Facts.
  3. Ophthotech Corporation. (2023). Uvadex Clinical Trial Updates.
  4. MarketWatch. (2023). Global Hematology Market Outlook.
  5. FDA. (2022). Biologics License Applications and Approval Processes.

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